Individual provider Active NPI

Paisley Dawson

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1265088082
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
X-12004 Issued in NM
Practice address
3736 Eubank Blvd NE Ste B1
Albuquerque, NM 87111-3583
Phone
(505) 293-2881
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Social Worker 104100000X X-12004 NM Primary

Addresses

Primary practice location

3736 Eubank Blvd NE Ste B1
Albuquerque, NM 87111-3583

Mailing address

3736 Eubank Blvd NE Ste B1
Albuquerque, NM 87111-3583
Phone (505) 293-2881

Other practice location 1

1301 E Orangewood Ave
Anaheim, CA 92805-6807
Phone (800) 249-1266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X-12004NMMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affective Therapeutic Solutions, LLC CurrentSince Jul 25, 2021 Accepting new patients

Locations

3736 Eubank Blvd NE
Ste B1
Albuquerque, NM 87111
Phone (505) 293-2881

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1265088082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 EUBANK BLVD NE STE B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113583",
            "telephone_number": "505-293-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 EUBANK BLVD NE STE B1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113583",
            "telephone_number": "505-293-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E Orangewood Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928056807",
            "country_code": "US",
            "telephone_number": "800-249-1266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "PAISLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X-12004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.